量化血压控制对大规模多机构医疗保健群体中神经影像利用的影响
Theodore R Welch1, Aliza Yaqub2, Danny Aiti3
1Department of Radiology, The Ohio State University College of Medicine, Columbus, Ohio, United States of America.
PloS one
|April 30, 2024
概括
高血压与增加的神经成像使用有关. 管理高血压可能会降低与CT和MR扫描相关的医疗费用.
科学领域:
- 心血管医学 心血管医学
- 神经学 神经学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基本高血压是一种影响神经健康的普遍疾病.
- 医疗成像成本不断上升,需要了解影响神经成像利用的因素.
- 人口血压控制和神经成像之间的关系需要进一步研究.
研究的目的:
- 量化每年最大血压与同年神经成像 (CT/MR) 使用之间的关联.
- 分析一个庞大的多机构医疗保健群体中的这种关系.
- 为高血压管理和医疗保健成本减轻的公共卫生战略提供信息.
主要方法:
- 基于人口的回顾性队列研究,使用来自140个卫生系统 (2016年,2018年,2020年) 的非识别数据.
- 包括记录血压≥50 mmHg DBP或≥90 mmHg SBP的患者.
- 评估神经成像CT和MR利用率,基于最大每年心和腹血压值.
主要成果:
- 分析包括最近一年超过3800万名患者.
- 总体CT和MR利用率分别在3.8-5.1%和1.5-2.0%之间.
- 血压升高 (静脉压≥140mmHg或静脉压≥90mmHg) 与同年神经成像中3-7倍的增加相关,而<120/80mmHg相比.
结论:
- 年度最高血压较高显著与神经成像CT和MR利用率的增加有关.
- 研究结果强调了高血压对诊断成像需求的影响.
- 有效的高血压管理对于控制与神经成像相关的医疗保健支出至关重要.
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